FRED A GREEN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005608

License Status

NOT RENEWED

Business

First Name

FRED

Middle

Last Name

GREEN

Business Name

FRED A GREEN

Original Issue Date

03/02/1999

Effective Date

10/13/2009

Expiration Date

11/30/2011

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

01/05/2012